TOTALSTART BENGAL TOTALMENTEE APPLICATION FORM FOR SCALABLE ENTREPRENEURSHIP PROGRAM
Please fill this form in as much details as possible to help us understand you and your enterprise better. This will also help us in identifying your mentoring need more accurately and in suggesting a more appropriate mentor and mentoring needs matched and our decision making to set you in the process of enrolling you in any of our programs for (a) incubating or (b) scaling or (c) scaling towards investment
Email address *
INCUBATING AND SCALING MICRO AND SMALL ENTREPRENEURS IN 25 REGIONAL DISTRICT HUBS ACROSS 13+ STATES IN INDIA
Mentoring Request Date (Dates are fixed days as per circulation) *
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Which District/Sub-District you are from? *
We are presently covering only 12 Districts/Sub-Districts in this Program in Bengal
Mentee Name *
Title Name Middle-name Surname
Your answer
Company Name *
Your answer
Mobile Number *
Your answer
Email ID *
Your answer
Land Phone No
Your answer
Company Type (Legal) *
Required
Enterprise Classification *
Required
Year of incorporation of the company *
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Please give us a brief overview of your venture? (at least 100 words) *
Your answer
What is the current stage of your venture? (Idea-Stage? Early-Stage? Start up? Scaling?) *
Your answer
What is the current strength of your team/no. of people employed? *
Your answer
What is your current revenue size (in INR)? *
Your answer
What is your current profitability (in INR)? *
Your answer
Industry Sector *
What is your mentoring need? *
Required
What kind of support are you looking for in a mentor? *
Your answer
Do you have a business plan (on paper)? If yes, please email plan to TotalStart Mentor & Governance Board TO bengal@totalstart.org *
Your answer
Highlight the top 3 issues/ challenges that you are facing & need mentoring on *
Your answer
What are the short term & long term goals for your enterprise in terms of growth, vision etc? Describe top 3. *
Your answer
A copy of your responses will be emailed to the address you provided.
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